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A concise cheat sheet covering common psychological disorders like Social Anxiety, BDD, ADHD, and OCD, along with an overview of their treatments, including therapies and pharmaceuticals.

Understanding Psychological Disorders

Social Anxiety Disorder (SAD)

Definition: Intense fear of social situations where one could be scrutinized by others, leading to significant distress and impairment in daily life.

Symptoms: Fear of judgment, avoidance of social interactions, physical symptoms like blushing, sweating, trembling in social settings.

Diagnostic Criteria: Persistent fear of social situations lasting six months or more, causing significant distress or impairment.

Common triggers: Public speaking, eating in public, meeting new people.

Prevalence: Affects approximately 7% of the US adult population.

Treatment: Therapy (CBT), medication (SSRIs, SNRIs).

Body Dysmorphic Disorder (BDD)

Definition: Preoccupation with perceived defects or flaws in physical appearance that are not noticeable or appear minor to others.

Symptoms: Repetitive behaviors (mirror checking, excessive grooming), seeking reassurance, comparing appearance to others.

Diagnostic Criteria: Preoccupation causes significant distress or impairment in social, occupational, or other important areas of functioning.

Common Concerns: Skin, hair, nose, stomach. Can focus on one or multiple body areas.

Prevalence: Estimated to affect 1-2% of the population.

Treatment: Therapy (CBT), medication (SSRIs).

ADHD & OCD

Attention-Deficit/Hyperactivity Disorder (ADHD)

Definition: Neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity.

Symptoms: Difficulty focusing, forgetfulness, fidgeting, excessive talking, interrupting others.

Diagnostic Criteria: Symptoms present before age 12, occurring in multiple settings (e.g., home and school), and causing significant impairment.

Types: Predominantly Inattentive, Predominantly Hyperactive-Impulsive, Combined.

Prevalence: Affects about 5-10% of children and 2.5% of adults.

Treatment: Medication (stimulants, non-stimulants), therapy (behavioral therapy), educational interventions.

Obsessive-Compulsive Disorder (OCD)

Definition: Characterized by recurrent, unwanted thoughts (obsessions) that drive repetitive behaviors (compulsions) to reduce anxiety.

Symptoms: Obsessions (e.g., fear of contamination, need for symmetry), compulsions (e.g., washing, checking, counting).

Diagnostic Criteria: Obsessions and/or compulsions are time-consuming (taking more than 1 hour per day) or cause significant distress or impairment.

Common Obsessions: Contamination, harm, order, unwanted thoughts.

Prevalence: Affects approximately 1% of adults and 1-2% of children and adolescents.

Treatment: Therapy (Exposure and Response Prevention (ERP), CBT), medication (SSRIs).

Treatment Approaches

Deinstitutionalization

Definition: The process of replacing long-stay psychiatric hospitals with less isolated community mental health services.

Goal: To integrate individuals with mental illness into society and provide them with more humane and effective treatment.

Challenges: Lack of adequate community resources, homelessness, revolving door phenomenon (hospital readmissions).

Impact: Increased individual autonomy but also potential for increased vulnerability without sufficient support.

Key Services Needed: Housing, job training, mental health clinics, case management.

Cognitive & Behavioral Approaches

Cognitive Approaches:
Focus on identifying and changing maladaptive thought patterns and beliefs.

Example: Cognitive Behavioral Therapy (CBT)

Behavioral Approaches:
Focus on changing maladaptive behaviors through techniques like exposure therapy and reinforcement.

Example: Exposure and Response Prevention (ERP) for OCD

Techniques (Cognitive):
Cognitive restructuring, thought records, challenging automatic thoughts.

Techniques (Behavioral):
Exposure hierarchies, systematic desensitization, token economies.

Goal (Cognitive):
To develop more realistic and adaptive thinking patterns.

Goal (Behavioral):
To reduce or eliminate maladaptive behaviors and increase adaptive ones.

Psychotherapy & Pharmaceuticals

Pharmaceuticals

Antidepressants (SSRIs, SNRIs):
Used to treat depression, anxiety disorders, OCD, and BDD. Increase the availability of serotonin and norepinephrine in the brain.

Anti-anxiety Medications (Benzodiazepines):
Used for short-term relief of anxiety symptoms. Enhance the effects of GABA, a neurotransmitter that inhibits brain activity.

Stimulants (Methylphenidate, Amphetamine):
Used to treat ADHD. Increase dopamine and norepinephrine levels in the brain.

Antipsychotics:
Used to treat psychotic disorders like schizophrenia and bipolar disorder. Affect dopamine and serotonin neurotransmitter systems.

Mood Stabilizers (Lithium, Valproate):
Used to treat bipolar disorder. Help to stabilize mood swings.

Important Note:
Medication should always be prescribed and monitored by a qualified healthcare professional. Side effects and interactions with other medications are possible.

Types of Psychotherapy

Play Therapy:
Utilizes play to help children express their feelings and resolve emotional conflicts. Commonly used with young children who may have difficulty verbalizing their experiences.

Humanistic Therapy:
Focuses on helping individuals develop self-awareness and reach their full potential. Emphasizes empathy, unconditional positive regard, and genuineness from the therapist.

Example: Client-centered therapy

Exposure Therapy:
A type of behavioral therapy used to treat anxiety disorders. Involves gradually exposing individuals to feared stimuli to reduce anxiety responses.

Example: Used in treatment of phobias and OCD

Cognitive Behavioral Therapy (CBT):
Combines cognitive and behavioral techniques to help individuals identify and change maladaptive thoughts and behaviors.